Washington University in St. Louis, Department of General Surgery, St. Louis, Missouri, USA.
Washington University in St. Louis, Department of General Surgery, St. Louis, Missouri, USA.
Am J Surg. 2021 Dec;222(6):1112-1119. doi: 10.1016/j.amjsurg.2021.09.026. Epub 2021 Sep 29.
The American Board of Surgery has mandated chief residents complete 25 cases in the teaching assistant (TA) role. We developed a structured instrument, the Teaching Evaluation and Assessment of the Chief Resident (TEACh-R), to determine readiness and provide feedback for residents in this role.
Senior (PGY3-5) residents were scored on technical and teaching performance by faculty observers using the TEACh-R instrument in the simulation lab. Residents were provided with their TEACh-R scores and surveyed on their experience.
Scores in technical (p < 0.01) and teaching (p < 0.01) domains increased with PGY. Higher technical, but not teaching, scores correlated with attending-rated readiness for operative independence (p 0.02). Autonomy mismatch was inversely correlated with teaching competence (p < 0.01). Residents reported satisfaction with TEACh-R feedback and desire for use of this instrument in operating room settings.
Our TEACh-R instrument is an effective way to assess technical and teaching performance in the TA role.
美国外科学委员会要求住院总医师完成 25 例助教（TA）角色的教学任务。我们开发了一种结构化的工具，即教学评估和住院总医师评估（TEACh-R），以确定住院总医师在助教角色中的准备情况并提供反馈。
使用 TEACh-R 工具，在模拟实验室中，由教员观察员对高级住院医师（PGY3-5）进行技术和教学表现评分。住院医师会收到他们的 TEACh-R 评分，并对他们的经验进行调查。
PGY 越高，技术（p<0.01）和教学（p<0.01）领域的得分越高。更高的技术得分，但不是教学得分，与主治医生评定的手术独立性准备情况相关（p<0.02）。自主性不匹配与教学能力呈负相关（p<0.01）。住院医师对 TEACh-R 反馈表示满意，并希望在手术室环境中使用该工具。
我们的 TEACh-R 工具是评估助教角色中技术和教学表现的有效方法。
